| NPI | 1245844604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000146) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: WI 191) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2023-08-01 |